Provider Demographics
NPI:1356049019
Name:BUCKEYE BED BUG DETECTION
Entity type:Organization
Organization Name:BUCKEYE BED BUG DETECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-949-9058
Mailing Address - Street 1:2510 COUNTY LINE RD NE
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43150-9720
Mailing Address - Country:US
Mailing Address - Phone:614-949-9058
Mailing Address - Fax:
Practice Address - Street 1:2510 COUNTY LINE RD NE
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:OH
Practice Address - Zip Code:43150-9720
Practice Address - Country:US
Practice Address - Phone:614-949-9058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty